# MCLAREN GREATER LANSING

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MCLAREN GREATER LANSING
- **Other names:** McLaren Greater Lansing Cardiothoracic & Vascular Surgery
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1285718064
- **Legal business name:** MCLAREN GREATER LANSING
- **Authorized official:** MR. KEVIN LANCIOTTI (CFO)
- **Authorized official phone:** (517) 975-7555

## Contact information

- **Practice address:** 405 W GREENLAWN AVE, SUITE 305, LANSING, MI 48910-2898
- **Practice address phone:** (517) 483-4780
- **Practice address fax:** (517) 483-7595
- **Mailing address:** 405 W GREENLAWN AVE, SUITE 305, LANSING, MI 48910-2898
- **Mailing address phone:** (517) 483-4780
- **Mailing address fax:** (517) 483-7595

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | — |
| 2086S0129X | Vascular Surgery Physician | — | — | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/25/2006
- **Last updated:** 01/24/2012